Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Tassavor, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1043707003

Michael Tassavor, MD is a Micrographic Dermatologic Surgery (Mds) in New York, New York. Graduated from University of Connecticut School of Medicine in 2018, 8 years ago. Practices with Dermatology Center of North Jersey, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
8
Trained at
University of Connecticut School of Medicine
Licensed in
NJ, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

820 2nd Ave Rm 3A
New York, NY 10017-4534
Phone: (212) 661-3376
Fax: (212) 661-3366
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Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 25MA11789400 (NJ)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 323010-01 (NY)

Record details

NPI number1043707003
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2018
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Dermatology Center Of North Jersey — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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